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I Am Taking Istavel 100 (1-0-0) And Diamicron XR (1.5-0-0.5)

Posted on Thu, 27 Apr 2023

Question: I am taking Istavel 100 (1-0-0) and diamicron XR (1.5-0-0.5) my sugar level fasting 135 and PP 255. These medicines are tolerable to me.

Please suggest can i take Istamet 50/500 (1-0-0) and diamicron XR (1-0-1/2)

I am Intolerable to metformin as feeling heavy in stomach and having acidity problem from long time.

Answered by Dr. Priyanka (1 hour later)

Brief Answer:
Diabetes Mellitus type 2

Detailed Answer:
Istamet 50/500 is a combination medication that contains sitagliptin and metformin. If you are intolerant to metformin due to stomach heaviness and acidity, it may not be advisable to switch to Istamet. However, your doctor may have considered your case and may have reasons for suggesting this medication. You should consult your doctor before making any changes to your medication regimen.

In addition to medication, lifestyle modifications such as regular exercise, a healthy diet, and weight management can also help control blood sugar levels.

Any follow up query is welcome. Thank you take care.

Above answer was peer-reviewed by : Dr. LAKSHMI

Follow up: Dr. Priyanka (2 hours later)

but from my present medicines my sugar is not under control HB1AC is 9.3, please suggest medicines to me.

and also give the name of B12 for diabetic therupatic

Answered by Dr. Priyanka (9 minutes later)

Brief Answer:
Uncontrolled Diabetes Mellitus

Detailed Answer:
without knowing the complete history and the current medication it's difficult to prescribe medicines. It's important to consult with your healthcare provider to discuss your current medications and treatment plan and work with them to make any necessary adjustments to better manage your diabetes. They may also recommend lifestyle changes, such as dietary modifications and exercise, to help control your blood sugar levels.

Thank you,take care.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Priyanka (2 hours later)

Current Medications are as under
Istavel 100 (1-0-0)
Diamicron xr (1.5-0-0.5)

Age 64, taken above medicines from last 1.3 years, diabetic from 2009, BP 130/73, all health ok

Test reports Fasting120-130 and PP 250-260
Hb1AC 9.3

Please give medicines accordingly with vitamins.

Answered by Dr. Priyanka (10 minutes later)

Brief Answer:
Uncontrolled Diabetes Mellitus

Detailed Answer:

Your fasting blood sugar levels (120-130) and post-prandial blood sugar levels (250-260) indicate that your blood sugar levels are not well-controlled. Additionally, your HbA1c level of 9.3% suggests that your average blood sugar levels have been high over the past 2-3 months.

It is important to speak with your healthcare provider about these test results and the effectiveness of your current medications. They may suggest adjusting your medication dosage or adding additional medications to help better manage your blood sugar levels and reduce your risk of diabetes-related complications. Your healthcare provider is the best person to advise you on the most appropriate treatment options based on your individual medical history, current health status, and other factors.

Thank you, take care.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng